Short- and long-term impact of reoperation for complications after major hepatectomy for hepatocellular carcinoma

Background The impact of reoperation for complications after major liver resection for hepatocellular carcinoma was evaluated. Methods In this retrospective study covering 25 years, patients with reoperation for complications after major liver resection for hepatocellular carcinoma were compared wit...

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Bibliographic Details
Published in:Surgery 2016-11, Vol.160 (5), p.1236-1243
Main Authors: She, Wong Hoi, MBBS, Chan, Albert C.Y., MBBS, Cheung, Tan To, MS, Chok, Kenneth S.H., MS, Dai, Wing Chiu, MBBS, Chan, See Ching, MD, Lo, Chung Mau, MS
Format: Article
Language:English
Subjects:
Aged
Carcinoma, Hepatocellular - mortality
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - surgery
Cause of Death
Cohort Studies
Databases, Factual
Disease-Free Survival
Female
Follow-Up Studies
Hepatectomy - adverse effects
Hepatectomy - methods
Hospital Mortality - trends
Humans
Incidence
Liver Neoplasms - mortality
Liver Neoplasms - pathology
Liver Neoplasms - surgery
Male
Middle Aged
Postoperative Complications - diagnosis
Postoperative Complications - mortality
Postoperative Complications - surgery
Reoperation - methods
Reoperation - mortality
Retrospective Studies
Risk Assessment
Surgery
Survival Analysis
Time Factors
Treatment Outcome
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Summary:Background The impact of reoperation for complications after major liver resection for hepatocellular carcinoma was evaluated. Methods In this retrospective study covering 25 years, patients with reoperation for complications after major liver resection for hepatocellular carcinoma were compared with patients without reoperation in terms of demographics, tumor characteristics, operative details, postoperative results, oncologic outcomes, and survival. Reasons for reoperation were also investigated. Results Forty-nine out of 1,092 patients underwent reoperation within a median of 0.2 days (range, 0–6.9 days) after hepatectomy. Patients with and without reoperation had similar baseline characteristics and liver function. Nonetheless, patients with reoperation had a higher indocyanine green retention rate at 15 minutes (12.55% vs 10.5%, P  = .015), more operative blood loss (1.4 L vs 1 L, P  = .012), a higher blood transfusion rate (44.9% vs 29.2%, P  = .029), longer hospital stay (21 days vs 11 days, P  
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2016.06.008